| NPI | 1720870157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOUNI AICHA BOURAIMA Nurse Practitioner 520-551-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |