| NPI | 1902684442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLASHADE A ADELEYE CEO 817-852-5302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-10-03 |