| NPI | 1831976018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD O OLADIPO Psychiatry Nurse Practitioner 733-710-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-08-25 |