| NPI | 1710689625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBIKE FAITH ALE-OPINION Owner 346-588-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |