| NPI | 1093576217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI SHEILA EBORU Psychiatric Mental Health Np 708-880-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-10-14 |