| NPI | 1114860103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NWAMAKA LARVINE EMERUEM Owner 817-898-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-04-24 |