| NPI | 1760200810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHOLASTICA OYIBO ONYEMMA Owner 469-992-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |