| NPI | 1033739057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RHODES Administrative Director 480-359-9136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 103T00000X Psychologist | |
| 173000000X Legal Medicine | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-05-24 |