| NPI | 1952575698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBB BIRD Manager 480-390-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ 08-1059) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |