| NPI | 1528650694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW EVANS Medical Director 480-681-0454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |