| NPI | 1982078283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB I BUTLER President 915-351-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2024-06-17 |