| NPI | 1477269611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER AKWO CEO/Manager 408-806-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |