| NPI | 1194556407 |
|---|---|
| Doing Business As | AQUA PSYCH |
| Entity Type | Organization |
| Authorized Contact | JASON CHEEK Psychiatric Nurse Practitioner 564-225-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |