| NPI | 1790875136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD EFIONG MBOSOWO Executive Director 405553999740-562-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2022-07-21 |