| NPI | 1447809983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA WITHERSPOON Advanced Practice Nurse 972-716-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2023-02-02 |