| NPI | 1902208416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SCOTT DAVIS Member/Manager 480-678-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AZ 2478) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-05-07 |