| NPI | 1861053514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY D GROGAN Owner Of Entity 281-778-8715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-05-17 |