| NPI | 1427521426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NJIDEKA DOMRUFUS Psychiatric Nurse Practitionier 817-524-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2022-03-09 |