| NPI | 1881240760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE F HANCOCK Owner Of Entity 520-333-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2021-05-13 |