| NPI | 1356858062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUERLINE P DEJEAN Manager 713-728-6734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-06-16 |