| NPI | 1144696097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE BRITE Chief Medical Officer 602-368-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2022-03-18 |