| NPI | 1962926535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDA SARKODIE Nurse Practitioner 800-231-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2025-07-29 |