| 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 Psychiatric/Mental Health |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-30 |