| NPI | 1861190225 |
|---|---|
| Doing Business As | MY BUOYANT HEALTH |
| Entity Type | Organization |
| Authorized Contact | RUSSELL HORNING Owner 602-503-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-08-26 |