| NPI | 1740020718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA OKORUWA Nurse Practitioner/CEO 667-465-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-06-16 |