| NPI | 1619682440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBAS GHAZI Owner/Manager 480-848-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-07-26 |