| NPI | 1073489266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UBONG ATTAH PRINCE Owner / Medical Director 480-666-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-22 |