| NPI | 1477801173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN KELSCH Owner 623-935-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-09-10 |