| NPI | 1922708171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBUKUNOLUWA AYANLEYE Authorized Representative/Sole Owne 443-534-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-07-06 |