| NPI | 1023355724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PENNINGTON Director, Integrated Medicine 928-750-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |