| NPI | 1487033247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON S CLARK Chief Executive Officer 602-776-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-01-30 |