| NPI | 1114769924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABATUNDE K OLUJOBI Owner 718-309-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |