| NPI | 1952151086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA AGBADIBA Administrator 214-727-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |