| NPI | 1801394184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGE GISELA BUNDCHEN President 623-698-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4183) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |