NPI | 1891567269 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIANA OMODUGBA-UDEH Owner 469-226-3119 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-10-27 |
Last Update Date | 2023-10-27 |