| NPI | 1750147971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLULOPE ODUYEJO WILLIAMS Owner 386-334-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-06-21 |