| NPI | 1376520692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE HUNT Direct Of Revenue Cycle 480-525-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2024-07-02 |