| 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 |