| NPI | 1831733963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA NWADIAFOR EKHATOR Nursing Supervisor 267-949-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |