NPI | 1861179657 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUFUNKE M JINADU Owner 817-939-0471 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2023-07-03 |
Last Update Date | 2023-07-03 |