| NPI | 1952117533 |
|---|---|
| Doing Business As | AGA YOUNG |
| Entity Type | Organization |
| Authorized Contact | AGA DANEEN YOUNG Practitioner 228-213-7972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251T00000X PACE Provider Organization | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |