| NPI | 1124261011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYMBERLY CULLAR Owner 940-322-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 554888) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2019-01-10 |