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 |