NPI | 1881366383 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA MADU Nurse Practitioner 281-508-7434 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2021-10-03 |
Last Update Date | 2023-08-17 |