| NPI | 1346420577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN JOAN LUCHETTI President 928-329-4761 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 28963) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 044009) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2009-03-24 |