| NPI | 1649037185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSAE CASTANEDA Nurse Practitioner 629-260-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-05-07 |