NPI | 1396367439 |
---|---|
Former Legal Business Name | RED ROCK CLINICAL ASSOCIATES LLC |
Entity Type | Organization |
Authorized Contact | THERESA TOWLE Managing Member 480-442-2050 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2020-05-12 |
Last Update Date | 2024-06-23 |