NPI | 1477198109 |
---|---|
Other Name | PURA VIDA BEHAVIORAL WELLNESS, PLLC |
Entity Type | Organization |
Authorized Contact | RITA T MCCALLAN Owner 214-674-7859 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-11-18 |
Last Update Date | 2019-11-18 |