| NPI | 1730322678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. WILSON Chief Executive Officer 520-829-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 005093) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |