| NPI | 1003837618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY TAYLOR Chief Executive Officer 520-761-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1223D0001X Dentist Dental Public Health | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-02-10 |