| NPI | 1558308825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R SWAGERT CEO 602-323-3242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC0599) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC 0599) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-13 |