| NPI | 1962279570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKECHUKWU CHUKWUMA ANIDI Owner 339-329-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |