| NPI | 1801627476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADEKEMI SULIAT OLUDE CEO 972-449-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-14 |