| NPI | 1194973453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEVEN CHAROCHAK Medical Director 602-375-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 2333) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |