| NPI | 1316785603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE A LOUISSAINT Owner 480-842-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-08-25 |