| NPI | 1720770159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST OGBEIDE Nurse Practitioner 708-381-9943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |