| NPI | 1053587261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE M NEWLAND CEO 928-522-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ OTC 0806) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2021-06-30 |