NPI | 1801264775 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN E KIRK Managing Member 940-631-7066 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 679387) |
Enumeration Date | 2015-09-09 |
Last Update Date | 2017-01-11 |