NPI | 1912704677 |
---|---|
Entity Type | Organization |
Authorized Contact | VENUS SIMMS Owner 817-721-3997 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-02-28 |
Last Update Date | 2025-02-28 |