| NPI | 1477836880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ MCGINLAY VP Mission Services 928-526-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2015-11-20 |