| NPI | 1225798382 |
|---|---|
| Doing Business As | PROGRESSIVE HEALTH ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | NAJI DEKHARN Administrator 480-427-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |