| NPI | 1043061187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARIS CHRISTA MANDY Owner 623-256-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-08-09 |