| NPI | 1285346247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GOEN-MARTINEZ Owner/Provider 520-885-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2025-07-29 |