| NPI | 1487525754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAINE BANDI Chief Executive Officer 602-368-9616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |