| NPI | 1790356962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL WYBRON Managing Member 480-630-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2022-09-14 |