| NPI | 1477956290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA KARL Chief Financial Officer 602-786-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC5842) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2023-01-25 |