| NPI | 1952894990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERVASE CHE NGALLA President 740-644-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN252328) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-03-18 |