| NPI | 1326527979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDORE ONIGU-OTITE Owner And Director 409-939-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: TX M9774) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |