Dominique L Gist Valid NPI

Individual provider · Psychiatric Residential Treatment Facility · Goodyear, AZ

NPI

1629674742

Type

Individual (Type 1)

Primary specialty

Psychiatric Residential Treatment Facility

Specialty group

Residential Treatment Facilities

Taxonomy code

323P00000X

Sex

Female

Sole proprietor

Yes

Enumerated

2020-12-05

Last updated

2020-12-05