| NPI | 1154875375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ALVAREZ Director 602-874-7114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |