| NPI | 1023879574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK HOEFFEL CEO 480-544-2877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |