| NPI | 1982110573 |
|---|---|
| Doing Business As | BETHEL GARDEN PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | JOHNES BOGONKO MONYONCHO Pmhnp Bc; Owner/Managing Member 469-951-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP122703) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-12-06 |