| NPI | 1386460517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA EDAMWEN IYAWE President 214-440-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-04-25 |