| NPI | 1699360131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NECOLE JOHNSON Credentialing Director 281-533-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2024-12-26 |