| NPI | 1992387112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDI A WOODRUFF Owner 480-981-1022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |