| NPI | 1518630276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A CARLIN Nurse Practitioner 480-646-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-02-14 |