| NPI | 1417349051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LANCE MCGEE Member/Owner 480-861-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 8452) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |