| NPI | 1285206250 |
|---|---|
| Former Legal Business Name | MIND HAVEN BEHAVIORAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | NONYE FRANCES NWOKORO Owner 214-210-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2024-09-06 |