| NPI | 1164165528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA K. BLUITT Owner 281-978-5525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2024-06-04 |