| NPI | 1699448910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE DENIE JOHNSON-WAGNER Psychiatric Mental Health Np 520-635-6578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-05-10 |