| NPI | 1689153769 |
|---|---|
| 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 (Licence: AZ OTC9070) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ OTC9070) |
| 208000000X Pediatrics (Licence: AZ OTC9070) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ OTC9070) | |
| 208D00000X General Practice (Licence: AZ OTC9070) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-09-25 |