| NPI | 1861770950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN COX Owner/Clinical Director 602-377-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2019-10-22 |