| NPI | 1689485799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWASI BADU Manager 480-824-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QP1100X Clinic/Center, Podiatric | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2025-01-17 |
| Last Update Date | 2025-01-17 |