NPI | 1265175996 |
---|---|
Entity Type | Organization |
Authorized Contact | LACII KNIGHT Owner 580-434-2162 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-04-20 |
Last Update Date | 2022-04-20 |