NPI | 1326852385 |
---|---|
Former Legal Business Name | ALLIANCE BEHAVIORAL HEALTH INTEGRATED PLLC |
Entity Type | Organization |
Authorized Contact | HORTNESE NOBLE Owner 623-303-6904 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
261QI0500X Clinic/Center, Infusion Therapy | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2025-02-01 |
Last Update Date | 2025-02-04 |