| NPI | 1386904019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM E AHMED Owner/Manager 480-286-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AZ 547418) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-08-27 |