| NPI | 1134897846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON CRAWFORD Member/Co Owner 480-676-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-07-23 |