NPI | 1871224782 |
---|---|
Entity Type | Organization |
Authorized Contact | ABAYOMI MUTIU BAMGBOSE CEO 443-657-3911 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-06-21 |
Last Update Date | 2023-02-05 |