| NPI | 1639959711 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | TEMITOPE MACDOWALD ADAMS Director 832-283-5355 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family | 
| Enumeration Date | 2023-10-05 | 
| Last Update Date | 2023-10-05 |