| NPI | 1962529610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH SCHILDECKER Division Manager 928-679-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ AP1709) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-11-03 |