| NPI | 1043608565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE HATCHER Owner 480-518-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 04827) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |