NPI | 1457243404 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW ELLIOTT CEO 480-750-0095 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2025-07-16 |
Last Update Date | 2025-07-16 |