| NPI | 1710724687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH N OBIKE Nurse Practitioner 909-641-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-29 |