| NPI | 1477868396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN T. HOWARD Executive Health Director 520-879-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ NONE 638 FACILITY) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |