| NPI | 1306454509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESSINGTON ENAYE OKUNDAYE Managing Partner 818-571-8708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |