| NPI | 1235970948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESIKA LOUANA MCKENZIE Owner 602-550-8795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2025-10-06 |