| NPI | 1407639396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JELILAT BUHARI Owner Of Entity 469-619-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |