| NPI | 1447381587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEA MARIE STEIN General Partner 480-510-3075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X (Licence: AZ RN 053217) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: AZ RN 053217) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |