| NPI | 1760233860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIDDET R ABRAHAMS Corporate Officer 210-953-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-04-04 |