| NPI | 1184995821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID HOPKINS President/Owner 480-786-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 3601) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |