| NPI | 1912575093 |
|---|---|
| Doing Business As | PSYCH MD AZ |
| Entity Type | Organization |
| Authorized Contact | MALAR KUPPAN Np/Manager And Member 623-261-5258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-01-08 |