| NPI | 1962146571 |
|---|---|
| Doing Business As | HOMETOWN NP |
| Entity Type | Organization |
| Authorized Contact | CHIME AJIERE CEO 708-847-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-02-05 |