| NPI | 1386294437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO CONS Executive Vice President 602-257-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 171M00000X Case Manager/Care Coordinator | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |