| NPI | 1093422081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINA ANULIKA OKONKWO Psych Nurse Practitioner 336-331-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2026-02-11 |