| NPI | 1740171677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAYEMI IKHILE Owner 571-569-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-17 |