| NPI | 1952948911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL NEGEDU BABA Sole Proprietor 520-600-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |