| NPI | 1700661485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINA OGHENEOCHUKO AKPATI Administrator 469-920-9798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-05-22 |