| NPI | 1144014002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE BYRD MARIE BAKER Owner 928-550-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-21 |