| NPI | 1962128249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB M REID Owner/Member Manager 480-999-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-10-21 |