| NPI | 1003633926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA RENAE ODENIYI Owner/CEO 832-248-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |