| NPI | 1972185288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN ALEXANDER Sr Project Manager 602-228-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |