| NPI | 1851140883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNEDY OGBONNA ANYANWU Owner 971-599-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |