| NPI | 1275715286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO JIMENEZ CEO 520-407-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2022-04-21 |