NPI | 1619484037 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW MICHAEL ELLIOTT CEO 480-306-8195 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2018-01-08 |
Last Update Date | 2024-08-06 |