NPI | 1992536734 |
---|---|
Entity Type | Organization |
Authorized Contact | KARI ROBINSON Owner/Provider 623-888-0344 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
103TB0200X Psychologist Cognitive & Behavioral | |
103TC1900X Psychologist Counseling | |
2084A0401X Psychiatry & Neurology Addiction Medicine | |
2084P0800X Psychiatry & Neurology Psychiatry | |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-08-13 |