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