| NPI | 1124566559 |
|---|---|
| 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 | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-07-29 |