| NPI | 1275747206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA-MARIE MAY DOBOSH School Counselor 928-779-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-07-21 |