NPI | 1841070570 |
---|---|
Former Legal Business Name | ADA PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | LAKEISHA SHARDA LOVE Family Nurse Practitioner/ Owner 480-526-9292 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-10-02 |
Last Update Date | 2023-10-02 |