| NPI | 1265252555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA OLUKITIBI Pmhnp Bc 214-218-6302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-12 |