| NPI | 1003087875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CHENG Clinical Reviewer 602-273-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ LCSW-12393) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |