| NPI | 1730964172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYANYIWA VIMBA Mental Health Provider/Owner 480-810-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2024-01-21 |