| NPI | 1427258706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE JULIE GOODRICK President 602-279-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ 22811) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2019-01-03 |