| NPI | 1578275046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANAH ADELAKUN Nurse Practitioner 862-588-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2025-01-24 |