| NPI | 1184248064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN SANTIAGO Administrator 623-230-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2021-12-01 |