| NPI | 1689238461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZIKA TRACEY NJOKU Clinical Director 339-364-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2020-02-06 |