Niostar Services LLC

NPI #1205251543 in Surprise, Arizona

Provider Information

NPI Number: 1205251543
Entity Type: Organization
Organization Name: Niostar Services LLC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Feb 24, 2014
Last Updated: Feb 24, 2014

Practice Location

Address: 11974 N 158TH LN
City: Surprise
State: Arizona
ZIP Code: 85379-1067
Phone: (248) 890-2078

Authorized Official

Name: CHISOMNAZU WINIFRED IWEHA-ONONYE, NP
Title: DIRECTOR
Phone: (248) 890-2078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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