| NPI | 1316897267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA A CROSS Owner 817-521-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2026-01-30 |
| Last Update Date | 2026-01-30 |