| NPI | 1639015357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WAWERU Owner Of Entity 469-396-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-25 |
| Last Update Date | 2026-04-25 |