| NPI | 1255965901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER IAN EARLE Owner 480-581-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251S00000X | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2021-10-29 |