| NPI | 1457808339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS ROBINETTE Chief Executive Officer 520-836-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2017-08-03 |