Organization
EMERALD BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSSAN NWOGWUGWU PMHNP-BC (CEO)
(213) 984-8478
Entity
Organization
Contact information
Practice address
3201 E PIONEER PKWY STE 40, ARLINGTON, TX 76010-5324
(212) 984-8478
Mailing address
3201 E PIONEER PKWY STE 40, ARLINGTON, TX 76010-5324
(212) 984-8478
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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