| NPI | 1902346919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINFRED WILLIAMS Medical Director 480-897-9515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: AZ AP9752) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |