| 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 |