NPI | 1265840037 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLY DAMSCHRODER Manager/Owner/Provider 928-237-9014 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AZ AP7289) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2015-01-04 |