NPI | 1336983709 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK MONEKE CEO 817-366-0950 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 207Q00000X Family Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
251S00000X Community/Behavioral Health | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2024-06-20 |
Last Update Date | 2025-05-22 |