| NPI | 1366000234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINA A EGEMASI Director 817-919-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-07-21 |