NPI | 1235847286 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN JONES Owner/Provider 480-613-8162 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-11-08 |
Last Update Date | 2022-11-08 |