| NPI | 1235590712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HOFFMAN TEPPER President & CEO 602-685-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC-6020) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care (Licence: AZ OTC-6020) | |
| 251S00000X (Licence: AZ OTC-6020) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2022-05-31 |