NPI | 1073023495 |
---|---|
Doing Business As | EROS |
Doing Business As | FOREFRONT PSI |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JAMES SMALLWOOD CEO 512-995-8905 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2017-10-11 |
Last Update Date | 2023-04-11 |