| NPI | 1619370426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY K CHROSTOWSKI Owner 623-594-3171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 31975) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2023-07-27 |