| NPI | 1699346494 |
|---|---|
| Doing Business As | IMPERIAL HEALTH PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | TEPHANIE OMOTAYO Np 469-414-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-03-29 |