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 |