| NPI | 1952169872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKHUORIA NELSON OTOIDE Owner 804-406-7853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |