| NPI | 1205651833 |
|---|---|
| Former Legal Business Name | INTEGRATED MEDICAL W CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | NORMA ARANDA Member/Manager 602-875-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-12-17 |