| NPI | 1982372488 |
|---|---|
| Doing Business As | SPECTRUM PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | MEAZA G EJIGU Owner/Provider 623-680-5243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-01-21 |