| NPI | 1730073867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE E SMITH Owner Of Entity 602-962-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |