| NPI | 1376881672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LYNN MCNEIL Owner/Nurse Practitioner 520-353-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2019-09-18 |