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 |