| NPI | 1598598997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKTSA SIMON Mental Health Nurse Practitioner 214-516-3615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-08-11 |