NPI | 1104071968 |
---|---|
Other Name | GLENDALE CENTER |
Entity Type | Organization |
Authorized Contact | APRIL J. DONOVAN COO And Interim CEO 602-277-7526 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: AZ OTC 0118) |
261QA1903X Clinic/Center, Ambulatory Surgical | |
Enumeration Date | 2008-11-20 |
Last Update Date | 2025-04-22 |