NPI | 1720778509 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LAURENT MUGOMOKE Director 469-910-4181 |
Organization Subpart ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
Enumeration Date | 2023-05-15 |
Last Update Date | 2023-05-15 |