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 |