| NPI | 1568178119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDINE U BLAISE Owner 602-465-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-04-17 |