| NPI | 1285591594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL A KALT Managing Member 915-309-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-07 |
| Last Update Date | 2026-01-07 |