| NPI | 1568804342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHRISTAIN TAYLOR Chief Executive Officer 480-285-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH-4204) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |