| NPI | 1275378390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OSITADINMA OKEKE Director 186-339-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2024-06-29 |