| NPI | 1740079060 |
|---|---|
| Doing Business As | DENOVA COLLABORATIVE HEALTH - PEORIA |
| Entity Type | Organization |
| Authorized Contact | GRAHAM JOHNSON CEO 602-230-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |