| NPI | 1073226601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA MADAMOMBE Psychiatric Nurse Practitioner 469-564-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-04-19 |