NPI | 1972396026 |
---|---|
Doing Business As | ROOTED WELLNESS AZ |
Entity Type | Organization |
Authorized Contact | HERENDIRA SHAHNAZ SHAHNAZ Psych Np 602-428-3693 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-22 |
Last Update Date | 2025-05-22 |