| NPI | 1134718059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANNE BOSSE President/ Pmhnp 928-331-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |