| NPI | 1053973404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA OZOWALU Managing Partner 210-245-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2019-11-12 |