| NPI | 1861363590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA R BAKER Authorized Official/Owner 806-674-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-12-26 |