| NPI | 1467729640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S EDELMAN Owner 602-368-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: AZ AP2472) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |