| NPI | 1619561875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MARC KIRSCHENBAUM CEO 480-269-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 104100000X Social Worker | |
| 163W00000X Registered Nurse | |
| 171100000X Acupuncturist | |
| 172M00000X Mechanotherapist | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
| 207R00000X Internal Medicine | |
| 221700000X Art Therapist | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 225700000X Massage Therapist | |
| 225A00000X Music Therapist | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |