| NPI | 1467131342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN R FARISHTA Owner/Authorized Official 817-201-8521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |