NPI | 1144937632 |
---|---|
Entity Type | Organization |
Authorized Contact | ROLAND TSOPZE Owner Of Entity 469-546-5539 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-11-03 |
Last Update Date | 2022-11-17 |