| NPI | 1073787768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LEE HAMBLIN Owner 928-333-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ AL6954) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |