| NPI | 1609300854 |
|---|---|
| Doing Business As | DENOVA COLLABORATIVE HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | GRAHAM JOHNSON CEO 602-230-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2023-09-07 |