| NPI | 1073717625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD R VACOVSKY Director 602-264-7897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ BH 2620) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-08-08 |