| NPI | 1285340174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNET MUKAMURENZI Owner 520-589-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-10-05 |