| NPI | 1447936869 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | NEPH AHIMERA Owner / Director 623-296-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |