| 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 Service |
| 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 |