| NPI | 1952877821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUD MOGHADDAMI Owner 520-885-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2021-10-07 |