| NPI | 1205302270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIAH NNADOZIE NWAOKWA Nurse Practitioner 623-225-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-10-26 |