NPI | 1679151203 |
---|---|
Doing Business As | CALVARY HEALING CENTER |
Entity Type | Organization |
Authorized Contact | GERALD THOMAS BOEHM Director 602-535-3384 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Enumeration Date | 2021-04-02 |
Last Update Date | 2021-11-09 |