NPI | 1326643032 |
---|---|
Former Legal Business Name | TELEHEALTH ON THE GO, PLLC |
Entity Type | Organization |
Authorized Contact | BRIANNE TERRELL Psychiatric Nurse Practitioner 602-699-5753 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-12-01 |
Last Update Date | 2021-01-26 |