| NPI | 1245819911 |
|---|---|
| Doing Business As | AZ SHALOM CENTER |
| Doing Business As | ARIZONA SHALOM CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | ETIENNE AHAYO Adminstrator 480-358-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |