| NPI | 1427100643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA KAY HEMAN Executive Clinical Director & CEO 623-930-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH1690) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-09-06 |