| NPI | 1336535566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PELUSE Provider 623-399-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ RN123818) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |