| NPI | 1518091107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LONGORIA Owner President 520-325-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 18725) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-04-20 |