| NPI | 1730053992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN LEE CASTILLO Co Owner / Managing Manager 817-271-9518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-11-05 |