| NPI | 1225762701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA N BENSON Director 817-323-7633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-03-27 |