| NPI | 1194404871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENAIT ENEYE GEBREAB Ap RN 913-742-9906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |