NPI | 1093304925 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON OSEI MENSAH Owner 409-291-7616 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
167G00000X Licensed Psychiatric Technician | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family | |
Enumeration Date | 2021-01-14 |
Last Update Date | 2021-01-14 |