| NPI | 1689484396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEKITAN OLUSEGUN ADEROJU Nurse Practitioner 469-215-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-06-10 |