| NPI | 1770475030 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RACHAEL COLLEY Owner/Managing Member 520-201-3731 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2025-07-19 | 
| Last Update Date | 2025-07-19 |