| NPI | 1427514553 |
|---|---|
| Doing Business As | FAST BEHAVORIAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ADEGBOYEGA OMOBA Nurse Practitioner 817-704-8116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |