| NPI | 1992525679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKPENZE FELICIA BALLARD CEO 917-378-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X Community/Behavioral Health | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |