| NPI | 1083347082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA RICE Provider, Owner 682-708-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-05-30 |