| NPI | 1962201855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO LEJAUN BRIGHAM CFO 430-288-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-07-22 |