| NPI | 1336909092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY B WALTON CEO 602-206-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-25 |