| NPI | 1093536047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L BROWN Owner 915-293-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2025-05-01 |