| NPI | 1164295671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALISSA L YEPIZ Member Manager 602-960-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |