| NPI | 1972482560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORRICE TINDIMUBONA Owner 747-463-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |