NPI | 1699149070 |
---|---|
Doing Business As | PEAK MEDICAL & WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTINE ANN SMITH Nurse Practitioner 623-233-0025 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4921) |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2015-11-22 |
Last Update Date | 2023-11-30 |