| 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 |