| NPI | 1336480037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RAZO Contracts Director 602-258-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC6180) |
| Additional Taxonomies | 251S00000X (Licence: AZ OTC-6180) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2021-11-02 |