| NPI | 1285208769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALAN CAPOCY Sole Owner 520-664-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-03-04 |