Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
163WC1500X |
| NPI # | 1083304893 |
| LBN Legal business name | DMUKE BEHAVIORAL HEALTH CENTER |
| Authorized official | DAVID MUGOMOKE - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/15/2023 |
| Last updated | 05/15/2023 - About 3 years ago |
| Identifiers | n/a |
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