| NPI | 1275860702 |
|---|---|
| Other Name | TAP PROGRAM MESA |
| Entity Type | Organization |
| Authorized Contact | NADINE RAMIREZ Deputy Director 928-777-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH-3441) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2010-02-01 |