| NPI | 1376789768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURELIANO ENRIQUE CIFUENTES Medical Director 602-442-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 11483) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |