| NPI | 1972293751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAURENT MUGOMOKE Director 469-910-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |