| NPI | 1508570706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE N IREAGBU GEORGE Owner Of Entity 682-202-0591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-02-09 |