| NPI | 1992443089 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA OLAJUMOKE OPEEWE-OJO Nurse Practitioner; CEO 443-271-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |