| NPI | 1073305082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX ASIEDU KORANTENG Manager 480-593-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-08-18 |