| NPI | 1205193893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO WILLIS Health Services Administrator 623-465-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |