| 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 |