| NPI | 1790662476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME THOMAS ROBERGE Director 520-273-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-08-16 |
| Last Update Date | 2025-08-16 |