| NPI | 1356085674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REY LEAL President 915-383-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-07-25 |