| NPI | 1467195966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SZYMANSKI Practice Manager 520-490-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |