| NPI | 1902564552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODSGIFT E NYA President 443-600-4202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |