| NPI | 1174302707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NWAMAKA ONYEOGO Owner/Apn 888-574-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2024-10-05 |