| NPI | 1215546361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOLUWA MOBOLAJI OYEFESO Owner 443-355-8041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |