| NPI | 1669293874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LORRAINE HESTER CEO/Healthcare Director 623-277-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |