| NPI | 1992264402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEJUMOKE DORCAS ONADEKO CEO 469-835-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |