| NPI | 1942614920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA S REED Managing Owner 520-780-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 41359) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2024-04-22 |