| NPI | 1558007005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FOX Dnp/Owner 623-377-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-12-18 |