NPI | 1518788967 |
---|---|
Other Name | AVATAR HOLDINGS, LLC |
Entity Type | Organization |
Authorized Contact | PAUL JASON MANN Chief Clinical Officer 602-603-6006 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2024-10-18 |
Last Update Date | 2024-10-18 |