| NPI | 1477379980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OBODOECHINA Psychiatric Nurse Practitioner/CEO 346-585-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-12-02 |