NPI | 1043015720 |
---|---|
Entity Type | Organization |
Authorized Contact | TONI R CRAWFORD-JONAS Member 602-796-3064 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-02-17 |
Last Update Date | 2025-02-18 |