NPI | 1851061071 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUSEUN ADESOLA AKINTUNLAJI, President 551-388-6392 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
2084P0800X Psychiatry & Neurology, Psychiatry | |
251B00000X Case Management | |
Enumeration Date | 2021-09-18 |
Last Update Date | 2021-09-18 |