| NPI | 1396341533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIETTA UDUNENWU Director/Provider 281-624-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-23 |