| NPI | 1316606098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA OQUENDO President 602-515-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-04-12 |