| NPI | 1942088851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLA MICHEL Owner 602-723-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2025-01-23 |