| NPI | 1073168738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM ROURKE SVP Corporate Development 972-467-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |