| NPI | 1326821109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA CHINWE NWAORGU Pmhnp 424-622-8428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |