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 |