| NPI | 1144730607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A COO 480-588-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207R00000X Internal Medicine | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2022-10-09 |