| NPI | 1942154562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE-CECILE EYA OBAME Managing Member 682-235-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-06-11 |