| NPI | 1437826039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLINS IYAMAH Director 817-420-2968 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-08-09 |