| NPI | 1760368849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARIETTE NGANDJO YEPNDJOUO Owner 331-330-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2026-08-03 |