| NPI | 1023177250 |
|---|---|
| Doing Business As | FREEDOM PARK |
| Entity Type | Organization |
| Authorized Contact | CLINTON KUNTZ CEO 520-682-4111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2014-02-20 |