| NPI | 1780441238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOKOTOLA O AYO AJAYI Director 346-220-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-06-24 |