| NPI | 1497380604 |
|---|---|
| Doing Business As | KIMBERLY COCHRAN |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY COCHRAN Owner/Provider 623-777-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2020-03-08 |
| Last Update Date | 2023-09-25 |