| NPI | 1437985678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTASOWIE LILLIAN OSAIGBOVO Authorized Official 551-257-3810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2025-05-14 |