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 |