| NPI | 1639521586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER POSEY Director 480-442-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP7517) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-21035) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ AP7518) | |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2017-02-11 |