| NPI | 1962162867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS CHUKWU Advanced Nurse Practioner 173-298-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2022-02-09 |