| NPI | 1669127205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER KIMSEY AMAN Owner Practitioner 602-738-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-02-16 |