| NPI | 1982360137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WRIGHT BAYLESS Founder 512-436-5841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2023-11-03 |