NPI | 1366149767 |
---|---|
Former Legal Business Name | HEALTHCARE GENIUSES MEDICAL PLLC |
Entity Type | Organization |
Authorized Contact | HORTENSE NOBLE A RN P Pmhnp 623-303-6904 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
363LA2200X Nurse Practitioner, Adult Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2023-02-15 |
Last Update Date | 2024-11-03 |