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 |