NPI | 1043623978 |
---|---|
Former Legal Business Name | VERDE VALLEY GUIDANCE CLINIC |
Entity Type | Organization |
Authorized Contact | CORINNE BAILEY Credentialing Specialist 877-634-7333 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
207R00000X Internal Medicine | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2021-07-21 |