| NPI | 1902615750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH LIEBERMAN VP Of Administration 602-385-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |