| NPI | 1346735222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVON WILLIAMS Owner 940-781-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP126125) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2024-06-12 |