| NPI | 1205525839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHEMIAH ABUGA Owner 480-450-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 207N00000X Dermatology | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-05-03 |