| NPI | 1730041971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHIAN MYERS CEO 480-881-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202D00000X Integrative Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 208D00000X General Practice | |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2025-11-25 |
| Last Update Date | 2025-11-25 |