| NPI | 1841688868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMILOLUWA OJURI Hr Manager 667-239-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD MH-1521) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2018-12-14 |