| NPI | 1144949934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MOON CEO 602-402-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |