| NPI | 1730894189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA JONES Mental Health Provider 623-248-1682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |