NPI | 1760987994 |
---|---|
Entity Type | Organization |
Authorized Contact | HUMPHREY CHAMA Administrator 214-282-4548 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
3747A0650X Technician, Attendant Care Provider | |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-06-20 |