| NPI | 1831870799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RODRIGUEZ Director Of Revenue Cycle Mgmt 480-983-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 103T00000X Psychologist | |
| 251S00000X | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |