NPI | 1023855269 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIMBOLA G. ADETOLA Apn 929-625-1366 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-07-15 |
Last Update Date | 2025-01-15 |