NPI | 1962288829 |
---|---|
Doing Business As | NIBBUS COMBINED CARE OUTPATIENT CLINIC |
Entity Type | Organization |
Authorized Contact | BRENDA L WATSON Owner 458-225-9993 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-09-06 |
Last Update Date | 2025-03-06 |