| NPI | 1780428623 |
|---|---|
| Doing Business As | SAME |
| Entity Type | Organization |
| Authorized Contact | REGINA INOKON Pmhnp Bc/Co Owner 551-358-7383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |