NPI | 1114687415 |
---|---|
Entity Type | Organization |
Authorized Contact | ONYI DURUJI Administrator 281-940-9229 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-12-28 |
Last Update Date | 2021-12-30 |