| NPI | 1609555408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN TEPPER CEO 602-512-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |