| NPI | 1235560087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE HOLLIDAY Chief Operating Officer 480-474-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ BH 3828) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2020-04-23 |