| NPI | 1275385924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALI NOUDELMAN Billing And Accounting Specialist 520-795-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |