| NPI | 1295581668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLOLADE TEMILADE BELLO Nurse Practitioner 346-575-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2025-11-06 |