| NPI | 1215734124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HALFAR Revenue Cycle Director 623-583-3001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |