| NPI | 1629432380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-01-25 |