| NPI | 1184354532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE BROWN Credentialing 602-492-8606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2025-04-18 |