| NPI | 1952689424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON THOMPSON CEO 602-288-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ 35615) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-09-01 |