| NPI | 1972750529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN THOMAS Practice Manager 602-343-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AZ 207VX0000X) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |