| NPI | 1912146267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M DRIESSCHE President 602-547-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 5198) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |