| NPI | 1184355711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH CHIDI UMEH Manager 310-500-9312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-10-05 |