| NPI | 1114603420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED KHALIL Owner / CEO 602-362-2983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC1900X Psychologist Counseling | |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-08-24 |