NPI | 1184165565 |
---|---|
Doing Business As | INNOVATIVE HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | JANE ABUCHA Owner 623-399-9645 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2017-03-17 |
Last Update Date | 2020-09-22 |