| NPI | 1134473416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARYLE LOIS CALVERT CEO 602-206-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-08 |