| NPI | 1770190480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA A YUNGA CEO 424-372-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2021-04-27 |