| NPI | 1114563806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOLOGUS OBI CEO 682-553-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-06-29 |