| NPI | 1952105504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KABUTI MAINA Owner Of Entity 469-531-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |