NPI | 1437682614 |
---|---|
Doing Business As | PRESTIGE PSYCHIATRIC PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | PAUL ERIC LARRALDE Member 602-910-6519 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP5217) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LISAC-11647) |
101YP2500X Counselor Professional (Licence: AZ LPC-11774) | |
163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: AZ RN147893) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2017-04-05 |