| NPI | 1386487643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKOUVI DZIGBODI AMOUZOUVI-ABA Owner 409-356-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-09-27 |