| NPI | 1801666565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY EDELMAN Provider/ Owner 602-762-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |