| NPI | 1003679796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERY JUSTINE CHAPA Owner 469-634-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-07-02 |