| NPI | 1467819029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARNIKA DONALD CEO 972-987-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2023-08-07 |