| NPI | 1497519300 |
|---|---|
| Former Legal Business Name | GAP BEHAVIROAL HEALTH SERVICES INC |
| Entity Type | Organization |
| Authorized Contact | JOVITA C EZIRIM-SALAMIALOFOJEQ President 409-356-9778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-03-25 |