Organization
IJOMA OKWUOSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJOMA OKWUOSA (PRIMARY THERAPIST)
(678) 665-4132
Entity
Organization
Contact information
Practice address
66 MORRIS AVE, NEW HAVEN, CT 06512-4421
(678) 665-4132
Mailing address
66 MORRIS AVE, NEW HAVEN, CT 06512-4421
(678) 665-4132
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CT
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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