| NPI | 1992519987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA OSAKWE Np 469-485-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |