| NPI | 1477303790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKA UMEJEI OGBOLU Owner 757-737-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2025-06-18 |