| NPI | 1184354532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON KRISTINA MORGAN Director Of Az Market 602-695-7392 |
| 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 | 2023-04-28 |