| NPI | 1255130746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAILEY BAKER CEO, Co Owner 865-566-3534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-04-01 |