NPI | 1124549043 |
---|---|
Doing Business As | DENOVA COLLABORATIVE HEALTH |
Entity Type | Organization |
Authorized Contact | GRAHAM JOHNSON CEO 602-230-7373 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
2084P0800X Psychiatry & Neurology Psychiatry | |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2017-06-30 |
Last Update Date | 2024-06-05 |