| NPI | 1063751204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD T KUHN Administrator 480-833-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ AP4435) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |