| NPI | 1861202335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALINDA SMITH Chief Of Operations 623-693-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-04-21 |