| NPI | 1952185738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CHIKADIBIA ONUKOGU Owner 443-909-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |