| NPI | 1265899009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CURTIS Billing 480-208-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: UT 5633279) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: UT 5633279) |
| 207R00000X Internal Medicine (Licence: UT 5633279) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |