NPI | 1639789357 |
---|---|
Entity Type | Organization |
Authorized Contact | OBINNA C OKEREKE Owner Of Entity 817-899-6284 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-08-06 |
Last Update Date | 2023-04-12 |