| NPI | 1619639556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZABEBA BADADA Owner 480-256-9299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2024-01-26 |