| NPI | 1780447722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMATOU ISMAILA President 800-507-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QC1500X Clinic/Center, Community Health | |
| 1223D0001X Dentist, Dental Public Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QD0000X Clinic/Center, Dental | |
| 122300000X Dentist | |
| 333600000X Pharmacy | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2026-04-26 |