| NPI | 1083411243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIOMA ANWUKAH Authorized Official 682-800-3809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-04-03 |