| NPI | 1295117554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFOSA AIRUEHIA Physician 469-777-4691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261Q00000X Clinic/Center (Licence: TX Q2227) | |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-04-29 |