| NPI | 1407579287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH FELTON Owner Of Entity 281-407-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 364SL0600X Clinical Nurse Specialist, Long-Term Care |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-03-08 |