NPI | 1801535414 |
---|---|
Former Legal Business Name | SOLID FOUNDATION PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | EDEWOR BERNARD OSEVWE CEO 832-438-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-04-30 |