| NPI | 1952542078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B. HENNING Chief Executive Officer 602-285-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC6421) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251B00000X Case Management (Licence: AZ OTC6421) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2025-02-18 |