| NPI | 1629721980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKA OGBOLU Owner/Provider 757-737-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |