NPI | 1376905786 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER ANN MUHAMMAD Fnp, Pmhnp, & Practice Director 520-477-1815 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ L20603825) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2023-09-17 |