| NPI | 1912212986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA M GROUT Chief Executive Officer 480-240-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ 24896) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |