| NPI | 1558112219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWUNMI JULIUS BANKOLE Psychiatric Nurse Practitioner 214-997-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-07-22 |