NPI | 1417646753 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUROUNKE REMIJOHNSON Np 972-525-0134 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM1300X Clinic/Center, Multi-Specialty | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2023-05-03 |
Last Update Date | 2025-05-22 |