| NPI | 1548032337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH OSINAKACHI UMEMBA Owner 469-328-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-26 |