| NPI | 1902597016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA M MARTINEZ Owner 480-909-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |