| NPI | 1184407546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA V SPRINGER Revenue Cycle Manager 520-459-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-11-29 |