NPI | 1376742205 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LEE SLOCUM WAARA CEO 928-445-5339 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 36449) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2011-12-14 |