| NPI | 1396910436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY MATHIS Executive Director 602-252-5609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-04-09 |