| NPI | 1255094140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE MORAA TOMLINSON Psychiatric Nurse Practitioner 817-677-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |