| NPI | 1790395739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RHODES Managing Member 480-542-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation Brain Injury Medicine |
| 261QH0100X Clinic/Center Health Service | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-12-14 |