| NPI | 1336364728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE RAE SALEM Nurse Practitioner, President 928-649-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RN034491) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-11-19 |