| NPI | 1730015728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISATU SESAY Nurse Practitioner 469-679-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |