| NPI | 1366265241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY E ACHOLONU Pmhnp/Member 832-512-4972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2025-01-22 |