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 |