NPI | 1043687775 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLIE HOLLIDAY Chief Operating Officer 480-474-5586 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2015-08-28 |
Last Update Date | 2020-04-23 |