| NPI | 1831154541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J. WRIGHT CEO 928-645-5113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: AZ BH-1589) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-09-14 |