| NPI | 1184426116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRITA DHANJAL-REDDY Ownder/Physician 602-750-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |