NPI | 1184358525 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA AGUIRRE President & CEO 928-315-7910 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-07-12 |
Last Update Date | 2023-09-07 |