| NPI | 1245491190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH ACKERLEY Managing Partner 520-299-5694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 35392) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |