| NPI | 1891510723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN ADUSEI Nurse Practitioner 346-279-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-16 |
| Last Update Date | 2024-11-16 |