| NPI | 1134787310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL SALTER Owner 480-508-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2022-09-21 |