NPI | 1609340777 |
---|---|
Doing Business As | NUMEDICAL & PSYCHIATRY CLINIC |
Entity Type | Organization |
Authorized Contact | MODUPE MARY OKONOFUA Dr. 817-805-9137 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-01-11 |
Last Update Date | 2021-06-04 |