| NPI | 1851914634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BEITLER Physician 480-582-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |