| NPI | 1689313082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMOTOLA DANMOLE-ODIMAYO Mental Heakth Privider 217-553-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-03-28 |