| NPI | 1588377451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFIOK UMOREN Co Owner 480-262-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-02-21 |