| NPI | 1467134361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEUDONNE NKEZABAHIZI Administrator 520-771-6702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |