| NPI | 1538951926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND NWANERI Owner 267-210-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-06-13 |