| NPI | 1770255192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEREN AKUMAH CEO 667-678-0508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2023-03-29 |