| NPI | 1932889862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA L BILLEDALLEY Nurse Practitioner 520-979-5996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-08-08 |