| NPI | 1912388992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER SIMMONS Owner 480-398-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |