| NPI | 1699094904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON A GAMEZ Owner, Manager, Clinical Director, 623-203-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ N-15914236) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2013-07-24 |