| NPI | 1407374036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKE UZODINMA UZOWULU Owner 281-979-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2024-03-20 |