| NPI | 1104470715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NWAMAKA LARVINE EMERUEM Director 214-837-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-05-10 |