NPI | 1164711750 |
---|---|
Doing Business As | REAL HEALTH OUTPATIENT CLINIC |
Entity Type | Organization |
Authorized Contact | ELIZABETH SINGLETON Admin 602-626-8150 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: AZ BH3830) |
Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: AZ BH3830) |
251S00000X (Licence: AZ 3830) | |
252Y00000X Early Intervention Provider Agency (Licence: AZ BH3830) | |
347C00000X Private Vehicle (Licence: AZ BH3830) | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2011-04-04 |