NPI | 1659179000 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER CARLISLE Medical Director 520-285-8580 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-03-03 |
Last Update Date | 2025-03-03 |