NPI | 1467106153 |
---|---|
Entity Type | Organization |
Authorized Contact | FATIMAT AGBOJEYIN Owner 404-513-2868 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2022-02-10 |
Last Update Date | 2022-02-10 |