| NPI | 1386504751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL COLEMAN Director Of Compliance 602-776-0776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |