| NPI | 1780384404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE TOWETT MKUBWA Owner 817-849-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2025-12-10 |