| Vidma Care Mission, Inc | |
|
10446 200th St Saint Albans NY 11412-1222 | |
| (404) 551-0549 | |
| (470) 231-1308 |
| Full Name | Vidma Care Mission, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10446 200th St, Saint Albans, New York |
| Authorized Official Name and Position | David E Ughulu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4045510549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vidma Care Mission, Inc 10446 200th St Saint Albans NY 11412-1222 Ph: (404) 551-0549 | Vidma Care Mission, Inc 10446 200th St Saint Albans NY 11412-1222 Ph: (404) 551-0549 |
| NPI Number | 1700611175 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700611175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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