| NPI | 1922664739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE OGUNMEFUN Managing Member 667-300-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |