| NPI | 1841066800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJEOMA MBADUGHA President/CEO 909-500-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2026-04-02 |