NPI | 1467182774 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA CHILDS Owner/Provider 623-303-6777 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2022-06-10 |
Last Update Date | 2023-03-19 |