| NPI | 1164131140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-11-15 |