NPI | 1013641265 |
---|---|
Entity Type | Organization |
Authorized Contact | KESSINGTON OKUNDAYE Managing Partner 832-802-0033 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2022-07-13 |
Last Update Date | 2022-07-13 |