NPI | 1194556845 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN HOFFMAN TEPPER President/CEO 602-685-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-09-16 |