| NPI | 1801404504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRA GAIUS-ANYAEGBU CEO 682-422-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2022-05-20 |