| NPI | 1235678699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNENNA OLUBAJO Owner 956-230-4837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP132741) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2017-02-18 |