| NPI | 1447680525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANN DALE ADAMS Sole Proprietor 469-662-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 453852) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2018-03-29 |