NPI | 1306587878 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY EPPERSON Owner 832-887-8501 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-04-06 |
Last Update Date | 2024-11-15 |