| NPI | 1922797141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LOUISE LEGANDER CEO 602-717-5049 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |