NPI | 1821820663 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LIANE MORGAN Owner/Provider 480-861-9202 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-08-19 |