| NPI | 1508265901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA AMADOR Owner 361-576-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 730502) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |