NPI | 1629554126 |
---|---|
Doing Business As | AZITTS |
Entity Type | Organization |
Authorized Contact | MEDINA KAMAU Provider 480-867-1722 |
Organization Subpart ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2018-07-17 |
Last Update Date | 2024-04-16 |