| NPI | 1841834199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI SHANNON CEO 480-359-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251S00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |