| NPI | 1336417641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLETTE ITAMI President/CEO 480-629-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH-3873) |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2019-06-20 |