| NPI | 1477715803 |
|---|---|
| Other Name | EMPACT-SPC |
| Entity Type | Organization |
| Authorized Contact | BRITTANY RASMUSSEN Credentialing Coordinator 480-784-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH-4162) |
| Additional Taxonomies | 251S00000X (Licence: AZ 3046) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2023-10-03 |