| NPI | 1356522684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE RENAUD President & CEO 602-258-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC8952) |
| Additional Taxonomies | 251S00000X (Licence: AZ OTC-6811) |
| 251S00000X (Licence: AZ OTC6811) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2024-03-13 |