| NPI | 1427602846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FONUSHO O OTUYELU Co Partner 347-410-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |