| NPI | 1184238826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDRA SMITH Pmhnp/Part Owner 832-524-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-12-28 |