NPI | 1417598673 |
---|---|
Doing Business As | PANDORA'S HOUSE MENTAL HEALTH PROVIDER |
Doing Business As | PANDORAS HOUSE PSYCHIATRY |
Doing Business As | PANDORAS HOUSE |
Entity Type | Organization |
Authorized Contact | JULIA P LARSEN Owner Of Entity 972-784-3064 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-09-30 |
Last Update Date | 2025-03-14 |