| NPI | 1063958288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERWONNA GLOVER CEO 480-709-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ AP7719) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |