| NPI | 1992586044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE GEORGE Pmhnp Bc 682-402-7261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2024-05-08 |