| NPI | 1568802585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY DINH Revenue Cycle Manager Of Abs 520-258-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 261QA1903X) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2015-12-16 |