| NPI | 1255902854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANA OWUSU WINBUSH Owner 757-207-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-28 |