NPI | 1023883618 |
---|---|
Doing Business As | BRAZOSPORT PSYCHIATRIC CLINIC |
Entity Type | Organization |
Authorized Contact | MENDI LU SAYER President 360-461-3944 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-11-24 |
Last Update Date | 2023-11-24 |