| NPI | 1689360877 |
|---|---|
| Doing Business As | WOODBRIDGE CAMPUS CRC |
| Entity Type | Organization |
| Authorized Contact | JANICE TALAS-DENNY Provider Network Management Assoc 602-416-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |