| NPI | 1003507898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUICKSON NDLOVU Owner 956-570-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-10-10 |