| NPI | 1457238057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER ELISE CASTLESCHOULDT Owner 210-800-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |