| NPI | 1104071968 |
|---|---|
| Other Name | GLENDALE CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA PULLEN Interim CEO/ President 480-292-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QA0005X Clinic/Center Ambulatory Family Planning Facility (Licence: AZ OTC 0118) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2021-05-20 |