| NPI | 1073647251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH E WACK Chairman Of The Board 520-575-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 14736) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |