| NPI | 1871155655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH GARCIA Wellness/Clinic Admin 480-219-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 171100000X Acupuncturist | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |