| NPI | 1952104622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAJUMOKE JONGBO RN/Pmhnp 480-207-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-04-15 |