| NPI | 1497181317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ARMENDARIZ Executive Director 480-882-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC0181) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |