| NPI | 1164881405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA GOLDSTEIN-CHARBONNEAU Founder Md 928-704-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ TAP 8360) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |