| NPI | 1003530916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIDIEBERE OSONDU Owner 678-499-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |