| NPI | 1245676394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE GREGORY Executive Director 602-792-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AZ BH-4075) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |