| NPI | 1225796071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA U OLADIPO Owner Of Entity 346-481-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |