| NPI | 1972011450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMY DESSALINES CEO 480-213-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-01-09 |