NPI | 1831653781 |
---|---|
Entity Type | Organization |
Authorized Contact | KARIMA SHAGAGA President 424-274-2963 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-01-24 |
Last Update Date | 2020-07-02 |