| NPI | 1801481668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOSSY CHANDY Advanced Nurse Practitioner 682-597-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |