| NPI | 1740079623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNKE MUKOMI ADEWUNMI CEO 678-898-1927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2026-03-27 |