| NPI | 1962213942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY RENEE WALKER Psychiatric Nurse Practitioner 937-668-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |