| NPI | 1215741772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLE DARELLE FOPA-YEMELI Nurse Practitioner 469-493-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-14 |