| NPI | 1669974853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANTHONY ODHNER President 602-762-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1000X Clinic/Center Migrant Health (Licence: AZ OTC7852) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |