| NPI | 1033280359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CAROL GRISSOM Nurse Practitioner 480-775-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN030340) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |