| NPI | 1992173397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY ADAIR Owner 928-246-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ 008231062015) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |