| NPI | 1912861725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVA HOLLY CARLSON CEO/Owner 623-248-6636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |