Organization
VIDMA CARE MISSION, INC
Active
Other names
VIDMA CARE MISSION NY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E UGHULU (EXECUTIVE DIRECTOR)
(404) 551-0549
Entity
Organization
Contact information
Practice address
10446 200TH ST, SAINT ALBANS, NY 11412-1222
(404) 551-0549
(470) 231-1308
Mailing address
10446 200TH ST, SAINT ALBANS, NY 11412-1222
(404) 551-0549
(470) 231-1308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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