| NPI | 1235960097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON KORIE CEO 602-849-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center Research |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |