| NPI | 1447969951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON BOWEN Chief Operating Officer 480-493-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2025-05-22 |