| NPI | 1982481941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANDAMA BANGURA Nurse Practitioner In Psychiatry 838-200-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2025-07-28 |