| NPI | 1639964315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOMINICK ROSSI Medical Director 903-244-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-12 |
| Last Update Date | 2025-09-17 |