Organization
DIVINE RACE MENTAL HEALTH SERVICES
Active
Other names
HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ANNASTECIA CHINASA OKIBE PMHNP-BC (PSYCH NURSE PRACTITIONER)
(832) 692-7100
Entity
Organization
Contact information
Practice address
10193 W GRAND PKWY S STE 103202, RICHMOND, TX 77407-8685
(832) 693-7100
Mailing address
10193 W GRAND PKWY S STE 103202, RICHMOND, TX 77407-8685
(832) 693-7100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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