NPI | 1740928209 |
---|---|
Doing Business As | ESSENCE BEHAVIORAL HEALTH SERVICES LLC |
Entity Type | Organization |
Authorized Contact | ELLEN KODUAH-AGBO CEO 984-221-9288 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-05-24 |
Last Update Date | 2022-05-24 |