| NPI | 1902698160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNEKA MBADIWE Authorized Official 347-682-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |