| NPI | 1356292742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN MOORE Managing Member 480-447-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-02-03 |
| Last Update Date | 2026-02-03 |