| NPI | 1932093457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA MARIE ONTIVEROS Fnp C, Pmhnp Bc 806-685-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-10-21 |