| NPI | 1275257917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVAN LEE Executive Leadership 623-777-8339 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QD0000X Clinic/Center, Dental | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |