| NPI | 1881382299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL LEIGH GERKEN Owner/Provider 480-200-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-07-27 |