| NPI | 1780857847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATANYA KING Counselor 602-252-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ LISAC0821) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |