| NPI | 1013733484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN UGOCHUKWU-OKONKWO Community Psychologist 945-296-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-03 |