| NPI | 1720580053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY VAN METER Owner 903-918-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP111655) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |