| NPI | 1689414153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE IJEOMA ONYIRIMBA Pmhnp 623-760-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-11-08 |