| NPI | 1245468271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE GAYNE Manager 480-838-9388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: AZ 1696) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |