| NPI | 1891043311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE CASEY Member 480-570-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ AP4476) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2013-11-15 |