| NPI | 1790264984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L CHESLEY Owner 480-999-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ AP10446) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-08-09 |