| NPI | 1083402960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN R FOORD CEO 480-235-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |