| NPI | 1619371754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW HALE LYONS Registered Nurse 520-661-6514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ RN166025) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |