| NPI | 1487050589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE STEIN Etl Rx 480-893-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: AZ S011164) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |