NPI | 1679347462 |
---|---|
Doing Business As | GREAT VALLEY TELEPSYCHIATRY PLLC |
Entity Type | Organization |
Authorized Contact | CHOLLETA WANJIRU MENJA Administrator 480-232-8260 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-11-13 |
Last Update Date | 2023-11-13 |