| NPI | 1962107607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT BETT Clinical Director 623-248-4397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-09-20 |