| NPI | 1073334249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LORRAINE HESTER CEO/Healthcare Director 623-277-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |