| NPI | 1922974773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL OLUYEMISI WINFUNKE-ROCHIN Pmhnp/Owner 480-508-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-17 |