NPI | 1942900907 |
---|---|
Other Name | CONNECTIONSWA GROUP PAYMENT |
Entity Type | Organization |
Authorized Contact | JANICE TALAS DENNY Provider Network Management Assoc. 623-273-6154 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 283Q00000X Psychiatric Hospital |
Enumeration Date | 2023-03-08 |
Last Update Date | 2023-04-13 |