| NPI | 1942891908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIS MUTEMBETE Owner 480-747-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-03-10 |