Organization Name: | MY FATHER, MY SON COUSELING |
NPI Number: | 1043567837 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHUKWUEMEKA BILL OKWUOSA (THERAPIST/PRACTITIONER) |
Mailing Address: | 60 Connolly Pkwy Bldg 12 Hamden |
State: | CT US |
Postal Code: | 065142593 |
Phone Number: | 2036769742 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2012 |
NPI Last Update Date: | 08/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |