| NPI | 1609571173 |
|---|---|
| Doing Business As | GRAND CANYON PSYCHIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | PETER NJOGU CEO 316-371-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-11-28 |