| NPI | 1770941924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE KEMUNTO MOSE Nurse Practitioner 817-412-8521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: TX AP129874) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-12 |