| NPI | 1225728710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OBIOMA AUGUSTINE NWULU CEO 469-349-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-08-01 |