| NPI | 1841137080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAGBENGA MICHAEL OPANUGA MICHAEL OPANUGA Np 210-941-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-06 |