NPI | 1619753126 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSCHELLE R WILLIAMS Director Of Operations 480-340-2636 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
3336C0002X Pharmacy, Clinic Pharmacy | |
Enumeration Date | 2023-08-31 |
Last Update Date | 2024-05-23 |