NPI | 1528311958 |
---|---|
Entity Type | Organization |
Authorized Contact | RODOLFO JIMENEZ CEO 520-407-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2012-10-23 |
Last Update Date | 2020-01-31 |