| NPI | 1528732054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORTENSE NOBLE Member 623-566-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy |
| 207Q00000X Family Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2023-09-14 |