| NPI | 1609420959 |
|---|---|
| Doing Business As | BAYLESS INTEGRATED HEALTHCARE |
| 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 | 101YP2500X Counselor, Professional |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208D00000X General Practice | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2023-10-24 |