| NPI | 1023554466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AZ AP9647) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2021-12-27 |