| NPI | 1669055919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MCMANUS Owner/Nurse Practitioner 972-784-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |