| NPI | 1023429164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI GREGORY Health Services Administrator 623-465-9757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |