| NPI | 1457459091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ OTC8057) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-20 |