Golden Health Initiative INC
Family Medicine in Tempe, AZ. Organization (NPI-2).
NPI number1124883871
StatusActive
Last updated in NPPESFeb 20, 2024
Details
- NPI
- 1124883871
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Health Initiative INC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2024
- Certification date
- Feb 20, 2024
- Last updated
- Feb 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 104100000X | Social Worker | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Practice location
909 W Grove Pkwy Apt 1015Tempe, AZ 85283-8415
Phone 480-231-1240
Mailing address
909 W Grove Pkwy Apt 1015Tempe, AZ 85283-8415
Phone 480-231-1240
Authorized official
Richard Golden
Ceo
4802311240
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