| NPI | 1063112092 |
|---|---|
| Other Name | PHC - CASA GRANDE IC |
| Entity Type | Organization |
| Authorized Contact | ROSE M LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |