| NPI | 1265283899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS OGUNMAKINWA Owner/CEO 667-382-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-12-16 |