| NPI | 1417403007 |
|---|---|
| Doing Business As | DOVE MOUNTAIN HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSHUA B CARZOLI CEO 520-682-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC7878) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC7878) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: AZ OTC7878) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-05-06 |