| NPI | 1568063097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIE HERNANDEZ Director Of Operations 480-634-4606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |