| NPI | 1790358943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWELINA LUCARELLI Owner 480-658-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |