NPI | 1740500628 |
---|---|
Other Name | GRISSELLE SIMPSON |
Entity Type | Organization |
Authorized Contact | GRISSELLE IVETTE SIMPSON Executive Director 623-398-4303 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2010-06-02 |
Last Update Date | 2010-06-02 |