| NPI | 1699153270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE CHOYOU Board President 928-283-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AZ AL9305C) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |