| NPI | 1629962063 |
|---|---|
| Former Legal Business Name | HOPE HAVEN MEDICAL LLC |
| Entity Type | Organization |
| Authorized Contact | OLUWAKEMI TEMITAYO OBAJUWONLO Md 702-934-0219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |