| NPI | 1558024943 |
|---|---|
| Former Legal Business Name | AUTHENTIGO HEALTH |
| Entity Type | Organization |
| Authorized Contact | DIANE R STRICKER Principle 480-980-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |