| NPI | 1639918733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOLOLA OLOYEDE Owner Of Entity 346-517-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-06-14 |