NPI | 1316023864 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN D ABBOTT Chief Executive Officer 928-757-8111 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC5973) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ BH645) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2021-06-23 |