| NPI | 1063736759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AUSTIN Owner 520-887-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: AZ 7607) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-25 |