| NPI | 1083294078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEBONGCHU NKEMASONG Pmhnp Bc 614-772-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-12-28 |