| NPI | 1447410048 |
|---|---|
| Former Legal Business Name | CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MAX PORTER Deputy Director 602-506-6641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ OTC3761) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2012-02-08 |