| NPI | 1598423956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURILIO C GARZA Owner/Lmhc 509-572-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-02 |