| NPI | 1740695915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A ABUOR Owner 469-733-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 641881) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-12-15 |