| NPI | 1912162702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM SADVARY CEO 480-882-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ OTC 1138) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |