| NPI | 1902615594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLASHADE ESTHER ADEBIYI Director 862-576-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-08-03 |