| NPI | 1417887423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAHTIMA SESAY CEO 740-201-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2026-05-21 |
| Last Update Date | 2026-06-18 |