| 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 |