| NPI | 1982241428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE SHADIX Owner/Psychiatric A RN P 480-616-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |