| NPI | 1235560830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICETTE MONTREDON Chief Executive Officer 520-628-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: AZ OTC6842) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2019-12-11 |