| NPI | 1093577249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CAMACHO Authorized Official 972-809-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |