| NPI | 1962295873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYOBOSA JOAN OBASOGIE CEO 667-303-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |