| NPI | 1487067195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH MOHAMMED OSTER-MORRIS Owner 520-977-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5553) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |