| NPI | 1871321000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSELM NNADOZIE ONYENEKE Owner Of Entity 817-891-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |