| NPI | 1376122184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL IAN COTTON Owner/CEO 623-640-7682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2022-06-10 |