| NPI | 1821432022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAMIN ABKER BUSH AHMED Director 602-760-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ 509322) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |