| NPI | 1063734200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN S MAXWELL President 520-751-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 21869) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 41438) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |