| NPI | 1487938577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHENIE CASTILLO Dsc Contact 928-718-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: AZ 169644) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |