| NPI | 1942017496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANA HILL Owner 480-640-6047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |