| NPI | 1689024424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI L JOHNSON President/Owner 682-556-8472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: TX 776453) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 776453) |
| 163WA2000X Registered Nurse Administrator (Licence: TX 776453) | |
| 163WC1500X Registered Nurse Community Health (Licence: TX 776453) | |
| 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: TX 776453) | |
| 163WG0600X Registered Nurse Gerontology (Licence: TX 776453) | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: TX 776453) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TX 776453) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: TN 776453) | |
| 163WX0106X Registered Nurse Occupational Health (Licence: TX 776453) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-14 |