| NPI | 1205642915 |
|---|---|
| Doing Business As | ADULT & GERIATRIC WHOLISTIC HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICIA Z MBOLA Manager 832-908-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |