| NPI | 1265162895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR EUNICE EDMILAO Owner 602-531-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |