| NPI | 1376820258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA FRANCES STUART-SMALLEY Executive Director 928-368-0461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ OTC4051) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |