| NPI | 1134829310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE OZIOMA JOSEPH Np 254-721-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-07-31 |