| NPI | 1245632835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLEEN SICKINGER President 480-634-5596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 14-1428) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2015-09-21 |