| NPI | 1093146755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE NEWLAND CEO 928-522-9400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2021-06-30 |