| NPI | 1043972979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITILOPE A LAWAL-JOHNSON Owner Of Entity 469-531-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |