NPI | 1750030185 |
---|---|
Entity Type | Organization |
Authorized Contact | THEOPHILUS AKOH Owner 775-335-7450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-03-22 |
Last Update Date | 2022-12-13 |