| NPI | 1669398590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN DOWDY Nurse Practitioner 657-423-6284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-06-25 |