| NPI | 1326168519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY WATTS Sr. Vice President 602-264-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ L-1099510-6) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |