| NPI | 1578217535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON CYNTHIA SAMBACH Owner 480-415-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-18 |