| NPI | 1750145009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUEL KAGAMBA MUIRURI Manager 833-711-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2026-01-28 |