| NPI | 1750736724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHAFETZ Owner 866-213-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ rn103631) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |