| NPI | 1831995281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJAN DUKIC Nurse Practitioner 520-742-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-05-05 |