| NPI | 1003061862 |
|---|---|
| Other Name | MARYVALE CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA PULLEN Interim CEO/President 480-292-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: AZ OTC4308) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2021-05-05 |