| NPI | 1881777506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LUECHTEFELD Senior Director Of Operations 602-400-0984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH4065) |
| Additional Taxonomies | 251S00000X (Licence: AZ BH2566) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-06-14 |