NPI | 1437838729 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY DAWN YOLLES Owner/ Nurse Practitioner 936-689-2536 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-07-13 |
Last Update Date | 2023-07-13 |