| NPI | 1700667649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLULOPE SHADA Owner 915-910-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-04-30 |