| NPI | 1174810766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART ALLAN SEALE Chief Medical Officer 480-214-5099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |