| NPI | 1760243323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHMA BARRE Administrator 747-206-7843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |