| NPI | 1659899045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY N OLLOH Owner Of Entity 480-284-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |