| NPI | 1083102826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WICKLUND Medical Director 480-562-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2021-04-21 |