NPI | 1376640656 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R SWAGERT CEO 602-323-3242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC 4015) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2018-03-12 |