| NPI | 1881394898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SLY Owner, Prescriber 210-201-5824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |