| NPI | 1851750210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE M GALLEGOS Clinical Director 602-626-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |