| NPI | 1215340310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH SUAZO Medical Billing Supervisor 480-646-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NJ 25MB05677400) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2021-10-08 |