| NPI | 1033864806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIA SAMUELS Nurse Practitioner 480-442-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2022-11-01 |