| NPI | 1174403430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINASA ONYEJE Owner Of Entity 443-631-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-24 |