NPI | 1174112858 |
---|---|
Entity Type | Organization |
Authorized Contact | VALARIE WILLIAMS Nurse Practitioner 210-264-2552 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-01-15 |
Last Update Date | 2022-05-10 |