| NPI | 1982839981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE W ACOSTA President 915-241-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-12-31 |