| NPI | 1447003942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DOCKINS Nurse Practitioner 623-261-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-06-14 |