| NPI | 1760805071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A GREY Massage Therapist 928-713-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ MT-10655) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |