| NPI | 1770743213 |
|---|---|
| Doing Business As | MAGELLAN OF TEMPE |
| Entity Type | Organization |
| Authorized Contact | GRACE DYSON-PORTER Site Administrator 480-929-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ RN087838) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |