| NPI | 1710854500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA STAPLETON Provider / Nurse Practitioner 602-562-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |