| NPI | 1568144327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KANYUA KIMATH Owner / Authorized Official 469-836-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-03 |