| NPI | 1134921364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STARR RAPETA Nurse Practitioner 623-282-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |