| NPI | 1497370258 |
|---|---|
| Former Legal Business Name | SUMMIT BEHAVIORAL HEALTH, PLLC |
| Entity Type | Organization |
| Authorized Contact | MISTY MCGILLEM Managing Member 520-468-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-03-14 |