| NPI | 1700678901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA O OLANIYAN Dnp/Owner 862-423-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |