Organization
SANUSI BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMATOU KARGBO (OWNER)
(505) 440-5761
Entity
Organization
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(505) 440-5761
Mailing address
13713 EASTCLIFF CIR, CENTREVILLE, VA 20120-1761
(505) 440-5761
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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