| NPI | 1538937818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRETTA EZUKANMA Provider & Owner 817-980-5659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |