| NPI | 1356148464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MARTIN CEO 623-387-3199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |