| NPI | 1174239750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONYINYE U OSUAGWU Owner Of Entity 781-318-3609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |