| NPI | 1144938192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGORJI WILSON ONYEANI President 602-922-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QU0200X Clinic/Center Urgent Care | |
| 282NC0060X General Acute Care Hospital Critical Access | |
| 283Q00000X Psychiatric Hospital | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 341600000X Ambulance | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| 261QD0000X Clinic/Center Dental | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |