| NPI | 1083394795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE LUEBKE Pmhnp Bc 623-552-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-01-12 |