| NPI | 1992472526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAFEMI AFOLABI CEO 667-225-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-05-20 |