| NPI | 1831346840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS GAINES Director Of Nursing 623-535-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ OTC4422) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2013-06-04 |