NPI | 1679312086 |
---|---|
Doing Business As | PROSANO HEALTH |
Entity Type | Organization |
Authorized Contact | RUSCHELLE R WILLIAMS Care Center Manager 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 | 2024-05-23 |
Last Update Date | 2024-05-23 |