| NPI | 1851233019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE KHAMO Chief Operating Officer 623-221-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-04-07 |