| NPI | 1386460228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH MICHELLE MCDONNELL Owner 623-352-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-12-05 |