| NPI | 1376769877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA FLAGLER President 520-721-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 83-349 & 84-356) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |