NPI | 1336837616 |
---|---|
Entity Type | Organization |
Authorized Contact | AIMEE UWIMANA Nurse Practitioner 602-399-0134 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
163WP0808X Registered Nurse Psychiatric/Mental Health | |
251B00000X Case Management | |
261Q00000X Clinic/Center | |
261QM0850X Clinic/Center Adult Mental Health | |
261QM1300X Clinic/Center Multi-Specialty | |
261QP2300X Clinic/Center Primary Care | |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
363LP2300X Nurse Practitioner Primary Care | |
Enumeration Date | 2023-04-25 |
Last Update Date | 2025-06-04 |